Bold Arrow Licensed Behavior Analyst PC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BOLD ARROW LICENSED BEHAVIOR ANALYST PC

Practice address

6 Laura Dr
Airmont, NY 10952-3402

Phone

(718) 222-5999

Fax

(718) 387-6429

NPI assigned

Dec 23, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yitzchak Lubart, BCBA

Title

Ceo

Phone

(718) 222-5999

Specialties & licenses 1

Addresses

Other names 1

• Bold Arrow Behavior Therapy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640217600000",
    "number": "1346900925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LAURA DR",
            "city": "AIRMONT",
            "state": "NY",
            "postal_code": "109523402",
            "telephone_number": "718-222-5999",
            "fax_number": "718-387-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 LAURA DR",
            "city": "AIRMONT",
            "state": "NY",
            "postal_code": "109523402",
            "telephone_number": "718-222-5999",
            "fax_number": "718-387-6429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLD ARROW LICENSED BEHAVIOR ANALYST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-23",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A",
        "authorized_official_last_name": "LUBART",
        "authorized_official_first_name": "YITZCHAK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-222-5999",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bold Arrow Behavior Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hetal Bhalara, PT
• Bikur Cholim, Inc.
• Debra Lent Bloch, C.N.M.
• Alyssa Block, M.S.
• Leah Blumenthal, PSYD
• Alyssa-Ray Leon Bouman, NYS CASAC
• Nisi Breuer
• Bronx Center for Renal Dialysis LLC
• Angelina Bruciaga
• Yehoshua Brull

• Behavior Analyst in Airmont, NY
• Providers in Airmont, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.